Sabrina Clark
Individual provider Active NPI Social Worker · Hillside, NJ
NPI 1013715093 · NPPES record last updated Mar 5, 2025
Key facts
- NPI
- 1013715093
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 44SW05417600 (NJ)
- Practice address
- 261 Herbert Ave
Hillside, NJ 07205-2112 - Phone
- (973) 765-3358
- NPI assigned
- Mar 5, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SW05417600 | NJ | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SW05417600 | NJ | Yes |
Addresses
Primary practice location
261 Herbert Ave
Hillside, NJ 07205-2112
Mailing address
261 Herbert Ave
Hillside, NJ 07205-2112
Phone (973) 765-3358
Other providers in Hillside, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.